| NPI | 1356507115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 071187) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125055528) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2014-07-18 |